Tommy Chou1, Aubrey L Carpenter2, Caroline E Kerns3, R Meredith Elkins4, Jennifer Greif Green5, Jonathan S Comer1. 1. Department of Psychology, Mental Health Interventions and Technology (MINT) Program, Center for Children and Families, Florida International University, Miami, FL, USA. 2. Department of Psychological and Brain Sciences, Center for Anxiety and Related Disorders (CARD), Boston University, Boston, MA, USA. 3. Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA. 4. Columbia University Clinic for Anxiety and Related Disorders (CUCARD), Department of Child and Adolescent Psychiatry, Columbia University Medical Center, New York, NY, USA. 5. School of Education, Boston University, Boston, MA, USA.
Abstract
BACKGROUND: The DSM-5 includes a revised definition of the experiences that qualify as potentially traumatic events. This revised definition now offers a clearer and more exclusive definition of what qualifies as a traumatic exposure, but little is known about the revision's applicability to youth populations. The present study evaluated the predictive utility of the revised DSM definitional boundaries of traumatic exposure in a sample of youth exposed to the 2013 Boston Marathon bombing and related events METHODS: Caregivers (N = 460) completed surveys 2 to 6 months postbombing about youth experiences during the events and youth posttraumatic stress (PTS) symptoms RESULTS: Experiencing DSM-5 qualifying traumatic events (DSM-5 QTEs) significantly predicted child PTS symptoms (PTSS), whereas DSM-5 nonqualifying stressful experiences (DSM-5 non-QSEs) did not after accounting for DSM-5 QTEs. Importantly, child age moderated the relationship between DSM-5 QTEs and PTSS such that children 7 and older who experienced DSM-5 QTEs showed greater postbombing PTSS, whereas there was no such relationship in children ages 6 and below CONCLUSIONS: Data largely support the revised posttraumatic stress disorder (PTSD) definition of QTEs in older youth, and also highlight the need for further refinement of the QTE definition for children ages 6 and below.
BACKGROUND: The DSM-5 includes a revised definition of the experiences that qualify as potentially traumatic events. This revised definition now offers a clearer and more exclusive definition of what qualifies as a traumatic exposure, but little is known about the revision's applicability to youth populations. The present study evaluated the predictive utility of the revised DSM definitional boundaries of traumatic exposure in a sample of youth exposed to the 2013 Boston Marathon bombing and related events METHODS: Caregivers (N = 460) completed surveys 2 to 6 months postbombing about youth experiences during the events and youth posttraumatic stress (PTS) symptoms RESULTS: Experiencing DSM-5 qualifying traumatic events (DSM-5 QTEs) significantly predicted child PTS symptoms (PTSS), whereas DSM-5 nonqualifying stressful experiences (DSM-5 non-QSEs) did not after accounting for DSM-5 QTEs. Importantly, child age moderated the relationship between DSM-5 QTEs and PTSS such that children 7 and older who experienced DSM-5 QTEs showed greater postbombing PTSS, whereas there was no such relationship in children ages 6 and below CONCLUSIONS: Data largely support the revised posttraumatic stress disorder (PTSD) definition of QTEs in older youth, and also highlight the need for further refinement of the QTE definition for children ages 6 and below.
Authors: Mariana Pires Luz; Mauro Mendlowicz; Carla Marques-Portella; Sonia Gleiser; William Berger; Thomas C Neylan; Evandro S F Coutinho; Ivan Figueira Journal: J Trauma Stress Date: 2011-05-05
Authors: Katie A McLaughlin; Karestan C Koenen; Eric D Hill; Maria Petukhova; Nancy A Sampson; Alan M Zaslavsky; Ronald C Kessler Journal: J Am Acad Child Adolesc Psychiatry Date: 2013-06-25 Impact factor: 8.829
Authors: Katie A Mclaughlin; John A Fairbank; Michael J Gruber; Russell T Jones; Matthew D Lakoma; Betty Pfefferbaum; Nancy A Sampson; Ronald C Kessler Journal: J Am Acad Child Adolesc Psychiatry Date: 2009-11 Impact factor: 8.829
Authors: Aubrey L Carpenter; R Meredith Elkins; Caroline Kerns; Tommy Chou; Jennifer Greif Green; Jonathan S Comer Journal: J Clin Child Adolesc Psychol Date: 2015-11-04